Individual
ELLA-MARIE RAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 ACORN DR, HAWTHORN WOODS, IL 60047-7407
(312) 402-2842
Mailing address
25 ACORN DR, HAWTHORN WOODS, IL 60047-7407
(312) 402-2842
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.007257
IL
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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